机构:[1]National Engineering Laboratory of Internet Medical Diagnosis and Treatment Technology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China首都医科大学宣武医院[2]Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China[3]Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, China[4]Chinese Institute for Brain Research, Beijing, China[5]School of Medicine, School of Pharmaceutical Sciences, THU-PKU Center for Life Sciences, Tsinghua University, Beijing, China[6]State Key Laboratory of Medical Molecular Biology, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, Beijing, China[7]Department of Pathophysiology, Peking Union Medical College, Beijing, China[8]Department of Neurology, Xuanwu Hospital, Capital Medical University, Room 1037, Donghuajinzuo, Guanganmennei Street, XiCheng District, Beijing 100053, China神经科系统神经内科首都医科大学宣武医院
Multiple sclerosis (MS) is a complex neurological disease and chronic inflammatory disease. Until now, observational studies have reported positive association between serum interleukin-6 (IL-6) levels and MS risk. In order to develop effective therapies, we should establish the causal link between IL-6 signaling and MS. However, it is currently unknown whether IL-6 signaling is causally associated with the risk of MS.
Here, we selected the increased soluble IL-6R (s-IL-6R) levels as the indirect markers for reduced IL-6 signaling, and performed a Mendelian randomization (MR) study using the rs2228145 variant as the instrumental variable to evaluate and quantify the effect of IL-6 signaling on the risk of MS. To be a comparison, we also evaluated the causal association of IL-6 signaling with the risk of other three neurodegenerative diseases including Alzheimer's disease (AD), Parkinson's disease (PD), and amyotrophic lateral sclerosis (ALS).
We found that the increased s-IL-6R levels (per 1 standard deviation) were significantly associated with decreased MS risk (OR = 0.96, 95% CI 0.94-0.98, P = 1.69E-04), but not associated with the risk of AD (OR = 1.01, 95% CI 0.92-1.11, P = 0.835), PD (OR = 0.94, 95% CI 0.84-1.05, P = 0.261), or ALS (OR = 1.00, 95% CI 0.92-1.10, P = 0.9411).
Our findings have the similar directional effects to an existing humanized anti-IL-6R monoclonal antibody Tocilizumab which could bind to the IL-6 binding site of human IL-6R and competitively inhibit IL-6 signaling. Hence, we provided genetic evidence that inhibiting the IL-6 signaling such as tocilizumab treatment might represent a novel therapy for MS.
第一作者机构:[1]National Engineering Laboratory of Internet Medical Diagnosis and Treatment Technology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China[2]Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China
通讯作者:
推荐引用方式(GB/T 7714):
Zhang Haihua,Wang Tao,Han Zhifa,et al.Mendelian randomization study to evaluate the effects of interleukin-6 signaling on four neurodegenerative diseases.[J].NEUROLOGICAL SCIENCES.2020,41(10):2875-2882.doi:10.1007/s10072-020-04381-x.
APA:
Zhang Haihua,Wang Tao,Han Zhifa&Liu Guiyou.(2020).Mendelian randomization study to evaluate the effects of interleukin-6 signaling on four neurodegenerative diseases..NEUROLOGICAL SCIENCES,41,(10)
MLA:
Zhang Haihua,et al."Mendelian randomization study to evaluate the effects of interleukin-6 signaling on four neurodegenerative diseases.".NEUROLOGICAL SCIENCES 41..10(2020):2875-2882